NPIMap

Individual provider Active NPI

Jake Schroeder

  • Orthopaedic Surgery Physician
  • Chalfont, PA
National Provider Identifier
1346692175
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD468648 Issued in PA
Practice address
1200 Manor Dr
Chalfont, PA 18914-2282
Phone
(800) 321-9999
NPI assigned
Jul 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD468648 PA Primary
Orthopaedic Surgery Physician 207X00000X A172077 CA

Addresses

Primary practice location

1200 Manor Dr
Chalfont, PA 18914-2282

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (267) 339-7843

Other identifiers 1

IdentifierTypeStateIssuer
MT212213OtherPAMEDICAL TRAINING LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220810003973 PA Practitioner - Orthopedic Surgery 2860892833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

599 W State St
Doylestown, PA 18901-2567
Phone (215) 830-8700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
79.04
Promoting interoperability
99
Improvement activities
40
Cost
82.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A172077CAMDOrthopaedic Surgery Physician
MD468648PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reconstructive Orthopaedic Associates II LLC Orthopaedic Surgery CurrentSince Sep 19, 2022 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Orthopaedic Surgery CurrentSince Sep 19, 2022 Accepting new patients

Locations

1200 Manor Dr
Chalfont, PA 18914
Phone (215) 830-8700

599 W State St
Ste 205
Doylestown, PA 18901
Phone (215) 830-8700

593 W State St
Fl 2
Doylestown, PA 18901

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1346692175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "267-339-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MANOR DR",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189142282",
            "telephone_number": "800-321-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD468648",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A172077",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL TRAINING LICENSE",
            "identifier": "MT212213",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalfont, PA

Sources for this page

Verify at the official NPI Registry.